Organization
THRIFTY WAY PHARMACY OF MAMOU LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT JAIN (CEO)
(713) 660-8888
Entity
Organization
Contact information
Practice address
704 POINCIANA AVE, SUITE A, MAMOU, LA 70554-2224
(337) 468-7111
(337) 468-2111
Mailing address
704 POINCIANA AVE, SUITE A, MAMOU, LA 70554-2224
(337) 468-7111
(337) 468-2111
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY007406IR
LA
3336C0003X
Community/Retail Pharmacy
Primary
PHY007406IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1254304
—
LA
Enumeration date
03/03/2017
Last updated
01/31/2018
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